Susan Dianne Neelley, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

RC 00042263 Issued in WA

Practice address

1101 Harris Ave
Bellingham, WA 98225-7062

Phone

(206) 854-8247

NPI assigned

Oct 22, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 9, 2024 through Feb 9, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256169600000",
    "number": "1710213962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 HARRIS AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257062",
            "telephone_number": "206-854-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 HARRIS AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257062",
            "telephone_number": "206-854-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELLEY",
        "first_name": "SUSAN",
        "middle_name": "DIANNE",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "RC 00042263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Olivier Ndo Akono, MD
• Elizabeth Ndow
• Brennan Neal, SUDPT
• Grace K Neale
• Alyssa Christine Neelley, DMD
• John E. Neer, PSYD
• Julie M Neevel, LMP
• Kenneth Sawyer Negro, DDS, MS
• Fred Neil, D.C.
• Kerry Lynn Neil, FNP LPA

• Mental Health Counselor in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.